Pancreatic Safety of Tirzepatide and Its Effects on Islet Cell Function: A Systematic Review and Meta‐Analysis

Dec 25, 2024Obesity science & practice

Tirzepatide’s impact on pancreas safety and insulin-producing cell function: A combined review and analysis

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Abstract

Analysis of 17 randomized controlled trials involving 14,645 subjects indicates that tirzepatide has similar pancreatitis risks compared to placebo.

  • Tirzepatide did not show an increased risk of pancreatitis compared to placebo or other treatments like insulin and GLP-1 receptor agonists.
  • All doses of tirzepatide led to greater increases in pancreatic amylase and lipase levels than placebo and insulin.
  • Tirzepatide 10 and 15 mg resulted in greater reductions in fasting insulin levels compared to placebo.
  • Tirzepatide produced larger percent reductions in fasting insulin, C-peptide, and glucagon levels than GLP-1 receptor agonists.
  • Percent reductions in insulin resistance () were greater with all doses of tirzepatide compared to placebo and GLP-1 receptor agonists.

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Key numbers

2.04
for (5 mg)
Risk of for 5 mg vs. placebo.
-37.0%
Percent Change in (15 mg)
Percent reduction in with 15 mg vs. placebo.
25.46%
Percent Change in (5 mg)
Percent increase in for 5 mg vs. placebo.

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